‘JIG’ Job Information Guide
General:
Post Title
Renal/ General Paediatrics
Hospital Details
Name: St Marys Hospital, Paddington
Website: http://www.imperial.nhs.uk/stmarys/
College Tutor: Dr Mehrengise Cooper Mehrengise.cooper@imperial.nhs.uk
Educational lead: Dr Bob Klaber bob.klaber@imperial.nhs.uk
Travel Info
Train/Tube: Paddington Underground. (Bakerloo, Hammersmith & City,
District, or Circle lines.)
Buses: http://www.tfl.gov.uk/tfl/gettingaround/maps/buses/pdf/paddington2201.pdf
Staff Car Park: No
Living/Accommodation
Hospital Accommodation is available over at the Hammersmith Hospital.
Email address: accommodation@imperial.nhs.uk
Phone number: 0203 313 4873
Departmental:
Team
No of Paediatric Renal Consultants: 1
No of General Paediatric Consultants: 8
No of Paediatric Emergency Medicine Consultants: 3
Registrars: 5 (in addition to allergy/A&E registrars that will also work on general and A&E)
SHOs: 2 Gen Paeds, 5 GPVTS , 1 ITP, 2 FY1 , 1 FY2
Rota &
Responsibilities
Your rotation at St Mary’s includes a rolling rota consisting of weeks in paediatric
A&E, general paediatric ward (Great Western Ward/GWW), the paediatric short stay
unit (PSSU) and clinics
On nights and long days/ weekends you will cover haematology, infectious diseases, and
General patients. As part of your renal duties you will carry the ‘renal bleep’, take calls for
advice from surrounding hospitals and from PICU and ward patients.
Link to an example rota:
A&E: The paediatric A&E is open 24 hours. The team consists of paediatric STs, resident
medical officers (RMOs), SpRs and consultants. As one of the paediatric trainees in A&E,
you will be seeing new patients and organising initial investigations and acute
management.. Your role is also supervisory; to ensure patients move through the
department in a timely fashion; and to be a source of specific paediatric knowledge. Some
of the A+E RMOs are adult trainees with limited paediatric experience.
GWW: This ward provides the general paediatric in-patient service plus many subspecialities including allergy, neurology, haematology, infectious diseases as well as
surgical specialities (general paediatric surgery, orthopaedics, ENT, and urology) and links
with child psychiatrists.
On the general paediatric ward week, you will attend or lead the daily ward round. New
patients will include those admitted from A&E, admitted from clinic, transferred from other
hospitals, or even those ‘stepped-down’ from PICU. When a patient is admitted as a PICU
“step-down,” the general paediatric team will introduce themselves to the family and
complete a new drug chart for the patient. Further ward responsibilities include organising
specialist investigations, referring to other specialities, and completing discharge
summaries. On Tuesdays there is a renal radiology meeting prior to the general paediatric
radiology meeting which you are encouraged to attend. You will also be expected to
supervise the presentation of patients at the Complex Patient Meeting on Thursday
mornings (patients usually identified by Attending Consultant).
PSSU week: PSSU provides short stay and ambulatory care for children referred from A&E
and GWW. There are also nurse led clinics and GP rapid referral clinics and FY1-led
prolonged neonatal jaundice clinics. You will attend/lead the daily ward round of inpatients,
clerk new patients, and review day attenders as well as those attending afternoon reviews.
Clinic: You will be allocated to clinics and generally have ‘green space’ as admin time to
catch up with the work these generate. You will be preferentially allocated to renal clinics
which are held on Tuesday and Friday mornings. The Tuesday clinic has no specific
registrar list and is used more for teaching. Friday clinics are very busy and there is a
separate SPR list but the consultant is always on hand to ask questions. You will also attend
general paediatric clinics and will see a wide variety of general paediatric issues.
Departmental
strengths
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Training
opportunities
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Teaching
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Very motivated senior staff that are keen to encourage and support
trainees
Emphasis on providing trainees with quality paediatric training rather than
trainees providing a service. This can be seen in that there are allocated
education and integrated care weeks
Teamwork with excellent multidisciplinary colleagues, e.g. SALT, OT, PT,
dieticians
Many consultants have specialist interest or the specialist consultants are
hands-on/in-house themselves when it comes to reviewing and managing
complex patients (e.g. allergy, renal, ID, haem, neuro)
Paediatric A&E is extremely busy with huge and varied caseload, including
trauma
Paediatric A&E consultants and/or registrars are available for guidance
Trainees are encouraged and supported in developing project ideas,
conducting research, service improvement projects etc.
Simulation training weekly every Friday morning and twice weekly
IMPACTs training
Protected teaching time on Thursday afternoons, an opportunity to teach
and be taught
Regular groups of medical students who need tutors- further teaching
opportunities.
Weekly Monday afternoon Paediatric Grand Round lunchtime meetings.
Great way to hear about interesting cases from other specialities
Weekly Thursday afternoon teaching 3pm-5pm (see NWL calendar on
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Top tips
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http://www.londonpaediatrics.co.uk/ for details)
Weekly ID meeting on Tuesdays 2pm-4pm, with interesting cases
presented by the ID, PICU and general team.
Monthly evening ‘Case Exchange’
http://www.londonpaediatrics.co.uk/wp/wpcontent/uploads/2014/01/Paediatric-NWT-Regional-Teaching.pdf
MRCPCH clinical teaching is organised by SHOs and usually happens
every day at 3pm except Thursdays prior to exams. The Consultants and
Registrars are very motivated and willing to teach.
Familiarise yourself with the local guidelines and have a read through the
Imperial College Paediatric handbook
Check your Imperial email regularly; it is not uncommon to have email
correspondence with consultants/other specialities about complex patients
Try and do an audit, project (including service/quality improvement) or
guideline. Many of the registrars and all of the consultants are involved in
lots of interesting research and happy to help.
Attend the renal radiology meeting at 8am on a Tuesday, help to get to
know the complex patients well.
Liaise closely with Karen Daubney the renal specialist nurse, she is a
fountain of information and can help you if you are stuck.
Don’t be afraid to ask! Dr Deal, the renal consultant, is only an email away
and will reply from the most unexpected places (up mountains when on
holiday)
Attend Grand Round on Monday afternoons—it’s a great opportunity to
discuss/refer patients with other specialities at the same time.
Lunch spots:
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Leena Café, 83 Praed St. Amazing salad boxes.
Tesco (Praed Street) and Marks & Spencer (Edgware Rd)
Sheldon Square has many restaurants, e.g Itsu, as well as a weekly
market
For more information you can contact a current SPR/ Trust rep by emailing:
Trust Rep contact details: phillipaj@doctors.org.uk